Susanna Moberly, APRN is a medicare enrolled "Internal Medicine - Rheumatology" in Nicholasville, Kentucky. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kentucky Orthopedic Rehabilitation Llc and her current practice location is
617 Edgewood Dr, Nicholasville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 241-1136.
Susanna Moberly is licensed to practice in Kentucky (license number 3009443) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568843316.
Provider's Profile
| Full Name | Susanna Moberly |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 617 Edgewood Dr, Nicholasville, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susanna Moberly graduated from nursing school in 2015
NPI Data:
- NPI Number: 1568843316
- Provider Enumeration Date: 06/17/2015
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901110303
- Enrollment ID: I20150729008788
Medical Identifiers
Medical identifiers for Susanna Moberly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568843316 | NPI | - | NPPES |
| 1346035524 | Medicaid | KY | |
| 1568843316 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 3009443 (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3009443 (Kentucky) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 3009443 (Kentucky) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 3009443 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susanna Moberly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susanna Moberly, APRN
617 Edgewood Dr,
Nicholasville, KY 40356-2262
Ph: (859) 241-1136 | Susanna Moberly, APRN
617 Edgewood Dr,
Nicholasville, KY 40356-2262
Ph: (859) 241-1136 |
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